Hekim Ve Hekim Adaylarının Hekime Yönelik Şiddet Algıları: Bir Ön Çalışma

Nurbanu Demirbaş, Nazan Karaoğlu
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Abstract

Objective: The aim of this study was to evaluate how medical students perceive and feel the increasing events of violence against physicians (VAP) in recent years. Method: This study was conducted with students and research assistants who attended a meeting about VAP at a Medical Faculty. A short sociodemographic information form prepared by the researchers, the Attitude Towards Violence Scale (ATVS) and the Beck Hopelessness Scale (BHS) were applied to the parti - cipants. Results: The mean age of 109 participants who were present at the meeting and completed the survey was 22.8±2.9 years (18-31), 33% were third class student and 29.4% were sixth class student. The frequency of witnessing VAP when they worked in the hospital or when they were the relatıves of the patıent was 74.3%. Very few participants stated that they were subjected to violence. While more than half of the research assistants, approximately half of the 6th grade students witnessed the VAP event, this ratio was lower in the first 3 grade students (p=0.001). Of the participants, 43% of the students who witnessed VAP stated that they felt anger towards the perpetrator and that they were afraid of the incident at the same rate, and 40% said they were worried about the incident. Those in the female sex were condemning fear and violence and those in the male sex were worried. Of the participants, 44% of respondents cited the cause of the violence as the lack of education of the public, while nearly half cited a lack of empathy towards doctors and patients. The mean score obtained from the ATVS was 18.63±6.0 points (10-35) and the mean score obtained from BHS was 8.10±2.9 points (3-17). The scores of ATVS and BHS scores were significantly higher in those who witnessed violence (p=0.001). Conclusion: The results of this study show that the medical students and research assistants who witness violence have increased their tendency to violence and made them desperate from the future. The importance of legal measures to prevent violence in health, effective communication methods education for the students and the feeling of safety in the environments they work in have been demonstrated once again for the future of public health and the medical profession.
目的:本研究旨在探讨医学生对近年来不断增加的医师暴力事件(VAP)的认知和感受。方法:本研究是在一个医学院参加VAP会议的学生和研究助理中进行的。研究人员编制了一份简短的社会人口学信息表,并对参与者使用了暴力态度量表(ATVS)和贝克绝望量表(BHS)。结果:109名参加会议并完成问卷调查的学生平均年龄为22.8±2.9岁(18-31岁),其中三班占33%,六班占29.4%。在医院工作期间或在patıent的relatıves期间目睹VAP的频率为74.3%。很少有与会者说他们遭受了暴力。而超过一半的研究助理,大约一半的六年级学生见证了VAP事件,这一比例在前三年级的学生中较低(p=0.001)。在参与者中,目睹VAP的学生中有43%的人表示他们对肇事者感到愤怒,并对该事件感到害怕,比例相同,40%的人表示他们对该事件感到担忧。女性谴责恐惧和暴力,而男性则感到担忧。在参与调查的人中,44%的受访者认为暴力事件的原因是公众缺乏教育,而近一半的人认为是对医生和病人缺乏同情心。ATVS评分平均为18.63±6.0分(10-35分),BHS评分平均为8.10±2.9分(3-17分)。目睹暴力行为者的ATVS和BHS得分显著高于暴力行为者(p=0.001)。结论:本研究结果显示医学生及助教目睹暴力行为后,其暴力倾向增加,使其对未来感到绝望。预防卫生暴力的法律措施、有效的沟通方法、对学生的教育以及他们在工作环境中的安全感对公共卫生和医疗专业的未来的重要性再次得到证明。
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